NPIMap

Individual provider Active NPI

Alexander Gimpelevich, DO

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1225224579
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
243377 Issued in NY
Practice address
16 E 40TH St
Suite 401
New York, NY 10016-0113
Phone
(212) 684-4325
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 243377 NY Primary

Addresses

Primary practice location

16 E 40TH St
Suite 401
New York, NY 10016-0113

Mailing address

16 E 40TH St
Suite 401
New York, NY 10016-0113
Phone (212) 684-4325

Other identifiers 1

IdentifierTypeStateIssuer
243377OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000502 NY Practitioner - Physical Medicine and Rehabilitation 9335222314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Igor Rubinshteyn MD PCGroup PAC ID 0143386938, 5 clinicians

Practice addresses (Care Compare)

11129 Queens Blvd
Forest Hills, NY 11375-5553
Phone (718) 275-8900

3049 Ocean Pkwy
FL 2
Brooklyn, NY 11235-8395
Phone (718) 896-4090

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
14.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
49.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
243377NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medex Diagnostic and Treatment Center LLC CurrentSince Aug 1, 2012 Accepting new patients
Kanter Physical Medicine & Rehab PC Physical Medicine & Rehabilitation CurrentSince Nov 9, 2021 Accepting new patients
Igor Rubinshteyn MD PC CurrentSince Sep 22, 2021 Accepting new patients
Synergy Physical Therapy & Chiropractic PLLC Past Accepting new patients
Maxwell Medical PC Physical Medicine & Rehabilitation Past Accepting new patients
Kessler Professional Services LLC Past Accepting new patients
Bensonhurst Mega Medical Care PC Past Accepting new patients
Amerihealth Medical P.C PastSince Apr 1, 2012 Accepting new patients
Aries Chiropractic, P.C. Past Accepting new patients
Amerirehab Services PT PC Past Accepting new patients

Locations

3049 Ocean Pkwy
Fl 2
Brooklyn, NY 11235
Phone (718) 265-0005

2797 Ocean Pkwy
Ste 1
Brooklyn, NY 11235
Phone (718) 615-4001

11129 Queens Blvd
Forest Hills, NY 11375
Phone (718) 275-8900

10509 Jamaica Ave
Ste C
Richmond Hill, NY 11418
Phone (718) 441-3211

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1225224579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 40TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160113",
            "telephone_number": "212-684-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 40TH ST",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160113",
            "telephone_number": "212-684-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMPELEVICH",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "243377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "243377",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.